How can I prepare for surgery with autoimmune disease?

Question

Hello doctor,

I have been struggling with obesity for years and have tried numerous diets and exercise plans with little long-term success. Recently, my doctor mentioned metabolic surgery as a potential option, and I am seriously considering it. However, I also have an autoimmune disease, and I am worried about how the surgery might affect my immune system.

Will the surgery trigger a flare-up or complicate my condition?
I am on immunosuppressive medication. Will that impact the healing process or increase my risk of infection post-surgery?
I would also like to know if the surgery could improve my autoimmune symptoms by reducing inflammation. Are there specific types of metabolic surgery that are safer or more effective for patients with autoimmune disorders?
How should I prepare differently for surgery, considering my autoimmune condition?
I am also concerned about how my nutritional needs will be managed afterward, since I know both surgery and autoimmune issues can affect nutrient absorption. Is there a specialist team that handles both metabolic surgery and autoimmune disease?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Bariatric surgery in itself does not alter your immune system, but it may indirectly influence it. There are a number of steps bariatric patients should take to make sure they maintain a healthy immune system, such as eating healthy and nutritious foods.

The researchers documented previous cases in which people developed rheumatoid arthritis (RA) and lupus, two different types of autoimmune disorders, after bariatric surgery. They believed there might be a connection between weight loss surgery and changes in both T-lymphocytes and autoantibodies. More research is needed to investigate why some people develop immune disorders.

To access your specialist bariatric (weight loss) surgical service, you will need to be referred by your general physician or by another hospital consultant.

Prepare for bariatric surgery:

Attend a weight loss seminar.
Smoking cessation.
Change your diet.
Learn about nutrition.
Medical testing for bariatric surgery.
Schedule a psychological review.

Essential supplements after bariatric surgery:

Multivitamins. A daily multivitamin tailored for bariatric patients is critical.
Vitamin B12. Bariatric surgery can significantly impact your ability to absorb vitamin B12, which is vital for energy production and neurological health.
Calcium citrate.
Iron.
Vitamin D.
Protein supplements.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.